Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Washington (cont’d)
Indian Health Service Portland Area Childhood Asthma Quality Improvement Project
University of Washington
James W. Stout, MD, MPH
Funded by the NIH/NIAID minority grant supplement in 1998, the Indian Health Service Portland Area Childhood Asthma Quality Improvement Project was a collaborative effort with the National Initiative for Children's Healthcare Quality. In 1999 the program recruited nine American Indian/Alaskan Native practices interested in improving asthma care.
The program included four learning sessions approximately six months apart. The learning sessions focused on training providers and giving them the tools needed to improve current asthma clinical care. After each learning session the providers were expected to go back to their practices and make the changes learned in the session. During the time between sessions program staff provided support through conference calls, e-mails, mailings and site visits.
The program evaluation yielded positive change in the way clinical care was provided (i.e., increased use of severity assessments, appropriate medication prescriptions, management plan use and assessment).
The program ended in 2001, but as evidenced by anecdotal reports many of the practices continue to implement the processes learned in the trainings and use the tools provided during the program.
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